Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11991 | Date 22/08/2024 |
| Token No | SM/24-25/18335 22/08/2024 | Serial | 004 |
| Patient Name | Mr. MD EIBRAN KHAN | Contact No | 8981622320 |
| Address | 21 A K C BHATTACHARYA STREET | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||